Family physician Dr. Rebekah Eatmon sees parents in tears, frustrated that they can㽶Ƶֱt provide enough healthy food for their children.
㽶ƵֱI㽶Ƶֱve never met an Indigenous parent that doesn㽶Ƶֱt want to do the best for their kids,㽶Ƶֱ said Eatmon, who works at an Indigenous clinic in Vancouver and in two remote First Nations in B.C.
Rising food prices have put 㽶Ƶֱan even bigger burden on families who were struggling before,㽶Ƶֱ said the doctor, who is a member of Lax Kw㽶Ƶֱalaams First Nation on her father㽶Ƶֱs side and Métis on her mother㽶Ƶֱs side.
As families across Canada grapple with the increasing cost of groceries, a new study says First Nations, Métis and Inuit children and youth have been disproportionately affected by food insecurity for years 㽶Ƶֱ to the point that it㽶Ƶֱs an 㽶Ƶֱurgent public health crisis.㽶Ƶֱ
㽶ƵֱThe seriousness of this in Indigenous communities is unlike any other population,㽶Ƶֱ said Dr. Anna Banerji, an associate professor of pediatrics at the University of Toronto and lead author of the study, which was recently published in the journal PLOS Global Public Health.
Banerji and her co-authors looked at dozens of peer-reviewed research studies, as well as reports from First Nations, Métis and Inuit organizations, to determine the extent of food insecurity among Indigenous children in Canada.
㽶ƵֱModerate㽶Ƶֱ food insecurity is defined by Statistics Canada as a 㽶Ƶֱcompromise in quality and/or quantity of food consumed.㽶Ƶֱ
㽶ƵֱSevere㽶Ƶֱ food insecurity is defined as 㽶Ƶֱreduced food intake and disrupted eating patterns.㽶Ƶֱ
The data show a disproportionately higher rate of moderate to severe food insecurity among Indigenous people living both on and off reserve, the study said, although people living in rural and remote Indigenous communities in the North were at especially high risk, partly because of extremely high food costs.
㽶Ƶֱ(In) some of these Indigenous communities, it is to the point where some children don㽶Ƶֱt have food to eat all day long,㽶Ƶֱ said Banerji.
One study of Inuit children in Nunavik, the northernmost region of Quebec, found that children from food-insecure homes were an average of two centimetres shorter than those from food-secure homes.
㽶ƵֱIt㽶Ƶֱs incomprehensible that in a country as rich as Canada that we have kids who are stunted and children who are starving,㽶Ƶֱ she said.
Moderate to severe food insecurity can lead to malnutrition, which affects the 㽶Ƶֱphysical, intellectual, emotional (and) social development of the child,㽶Ƶֱ said Dr. Véronique Pelletier, a pediatrician at CHU Sainte-Justine in Montreal and a co-author of the study.
Malnutrition can be caused not only by a lack of food, but by a lack of high-quality, nutritious food, she said.
For example, many Indigenous families who live in remote areas can㽶Ƶֱt get healthy food, including meats, fish, fruits and vegetables, because they are perishable and won㽶Ƶֱt last long after being transported long distances, the study said.
Those types of food are also out of reach for many Indigenous people because they can㽶Ƶֱt afford to buy them.
That means that many Indigenous children have obesitybut are nutrient-starved, because their diets consist largely of more affordable carbohydrate or fat-heavy food, the study said.
Eatmon, who was not involved in the study, said its findings ring true.
㽶ƵֱFamilies know what the best things are for their kids. I㽶Ƶֱve never chatted with a family that wants to give their kids Eggos over blueberries,㽶Ƶֱ she said.
㽶ƵֱBut the reality is the blueberries will spoil in a couple days and the Eggos will stay for months inside their freezer.㽶Ƶֱ
The long-lasting effects of colonization are driving factors behind much of the food insecurity Indigenous people face, the study said, because they disrupted sources of healthy food such as traditional hunting, fishing and gathering.
㽶ƵֱOver thousands of years, Indigenous populations have adapted to a diet suitable to their environment,㽶Ƶֱ the study said. That diet included animals and plants harvested locally.
㽶ƵֱSome cultural sharing practices involving feasts and ceremonies were outlawed, resulting in loss of intergenerational knowledge of traditional food procurement and preparation,㽶Ƶֱ it said.
In addition, trauma from residential schools and discrimination has fuelled 㽶Ƶֱunderemployment and poverty for some individuals and communities㽶Ƶֱ 㽶Ƶֱ which in turn leads to a lack of ability to afford nutritious food.
Combating food insecurity requires Indigenous-led solutions that are specific to each community㽶Ƶֱs needs, said Deyowidron㽶Ƶֱt Teri Morrow, a dietitian at Six Nations of the Grand River in southwestern Ontario.
Morrow, who was not involved in the study, pointed to food shortages in grocery stores during the COVID-19 pandemic lockdownas an example of how her First Nation was able to create their own food security.
㽶ƵֱWe could still go out and hunt and fish,㽶Ƶֱ she said, adding that they also picked wild leeks and fiddleheads.
㽶ƵֱWe were shipping them within the community here because people couldn㽶Ƶֱt get to the grocery store,㽶Ƶֱ said Morrow, who also chairs the Dietitians of Canada Indigenous Nutrition Knowledge Information Network.
Programs that re-establish traditional foods within Indigenous communities are one way of fighting food insecurity, Banerji said. Other examples of success stories include community greenhouses and community freezers.
Banerji and her co-authors are calling for more government support for these types of initiatives, as well as school-based nutrition programs in all Indigenous communities to ensure kids get at least one healthy meal a day.
㽶ƵֱIndigenous Peoples must have access to healthy and affordable food and our government is taking the steps necessary to close long-standing socioeconomic gaps,㽶Ƶֱ said an emailed response from Zeus Eden, press secretary to Minister of Indigenous Services Patty Hajdu, on Thursday.
㽶ƵֱWe know that affordability is a top concern for all Canadians, especially those in remote, rural and Indigenous communities who face a higher cost of living,㽶Ƶֱ Eden said.
He pointed to recently announced funding of $120 million for 24 regional Indigenous governments 㽶Ƶֱto further support traditional hunting, harvesting, and food sharing activities,㽶Ƶֱ as well as income assistance of 㽶Ƶֱapproximately $300 per month to address urgent financial needs㽶Ƶֱ for more than 100,000 people in First Nations communities.
The federal government is also working on developing a national school food policy 㽶Ƶֱover the next few years,㽶Ƶֱ the statement said.
㽶ƵֱWe will continue to work with all levels of government and across departments to address food insecurity, reduce poverty, and promote economic reconciliation,㽶Ƶֱ it said.
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